Individual provider Active NPI

Elizabeth Rodriguez, M.D.

  • General Practice Physician
  • Manati, PR
National Provider Identifier
1871702357
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14609 Issued in PR
Practice address
Carretera 2 KM 47.7
Manati, PR 00674-0000
Phone
(787) 621-3378
Fax
(787) 621-3378
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 14609 PR Primary

Addresses

Primary practice location

Carretera 2 KM 47.7
Manati, PR 00674-0000

Mailing address

PO Box 2476
Arecibo, PR 00613-2476
Phone (787) 880-2517

Other identifiers 1

IdentifierTypeStateIssuer
14609OtherPRLICENCIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081112000001 PR Practitioner - General Practice 5193884773 Practice locations: Manati, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7 Carr
2 KM
Manati, PR 00674-4894
Phone (787) 621-3378

PO Box
Suite 1007
Manati, PR 00674-1007

Hospital & facility affiliations

  • Corporacion Las Vegas, LLC Home health agency, Manati, PR, CCN 407014
  • Doctors' Center Hospital, Inc Hospital, Manati, PR, CCN 400118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Center Hospital Inc Past Accepting new patients
Dr. Leovigildo Figueroa Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1871702357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2476",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006132476",
            "telephone_number": "787-880-2517",
            "fax_number": "787-880-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 2 KM 47.7",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006740000",
            "telephone_number": "787-621-3378",
            "fax_number": "787-621-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCIA",
            "identifier": "14609",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.